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Your chosen agreement is between yourself and the above mentioned Company, Debit Finance Collections plc is purely the collecting agent working on behalf of the above mentioned Company.


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Title *
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Account Holders Name *
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Bank Sort Code * - -
Please confirm you are the account holder and you are the only person required to authorise direct debits from this account. However if you're not the account holder please do not tick the box and click Next and you will be given the option to print a Paper DDI. *

Customer Name
Date of Birth 01/01/1970
Address
Telephone
Mobile Phone
E-mail
Promo Code
Unique Reference No
Bank Account Name
Bank Account Number
Bank Sort Code --
Chosen Plan
Minimum Term Month (Non Cancellable in this period)

First Direct Debit on 01/01/1970
First Full Payment £0.00
First Direct Debit Total £0.00

The name that will appear on your bank statement will be Debit Finance Collections plc

Collecting Agent: Debit Finance Collections Plc, PO Box 6046, Milton Keynes MK1 9BA Telephone:

E-mail: [email protected] (All enquiries concerning payments should be made to this address)

Company Registration No. 3422873




Direct Debit Instruction

Debit Finance Collections plc
16 Davy Avenue, Knowlhill,
Milton Keynes, MK5 8PL


Direct Debit
Instruction to your
Bank or Building Society
to pay by Direct Debit
Name(s) of Account Holders(s)
Bank/Building Society account number
Branch Sort Code
--
Name and full address of your Bank or Building Society
To The Manager       Bank/Building Society


Address
Postcode
Service User Number
406492
Reference
8364
Instruction to your Bank or Building Society
Please pay Debit Finance Collections plc Direct Debits from the account detailed in this Instruction subject to the safeguards assured by the Direct Debit Guarantee. I understand that this Instruction may remain with Debit Finance Collections plc and, if so, details will be passed electronically to my Bank/Building Society.


Date


14/12/2017
Banks and Building Societies may not accept Direct Debit Instructions for some types of account

Direct Debit

The Direct Debit Guarantee


  • This Guarantee is offered by all banks and building societies that accept instructions to pay Direct Debits.

  • If there are any changes to the amount, date or frequency of your Direct Debit, Debit Finance Collections plc will notify you 5 working days in advance of your account being debited or as otherwise agreed. If you request Debit Finance Collections plc to collect a payment, confirmation of the amount and date will be given to you at the time of the request.

  • If an error is made in the payment of your Direct Debit, by Debit Finance Collections plc or your bank or building society you are entitled to a full and immediate refund of the amount paid from your bank or building society.

    - If you receive a refund you are not entitled to, you must pay it back when Debit Finance Collections plc asks you to.

  • You can cancel a Direct Debit at any time by simply contacting your bank or building society. Written confirmation may be required. Please also notify us.


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